Friends of the Johnson City Dog Park Association, Inc. Membership Registration Form

Complete the form below to sign up for our membership service.

Date

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Month
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Day Year

Date

Name

First Name Last Name

E-mail

Phone Number:

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Area Code Phone Number

Address:

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

Please select one:

New Membership Renewing Membership

I agree to receive Association correspondence by E-mail?

Yes No

Authorized User Form

An authorized user is not a member of the Friends of the Johnson City Dog Park Association, Inc. and thus is not entitled to vote on Association matters and may not register dogs to use the park independent of the authorizing member listed above on the Membership Registration Form.

Name

First Name Last Name

Email

example@example.com

Phone Number

-
Area Code Phone Number

Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

I authorize the above person to use my gate access key, and bring my registered dogs to the park. I accept full and total responsibility for the Authorized User and my dog(s) when they are at the park, whether or not, I am in attendance. My authorized user also agrees to the city liability, association liability, and park rules.

Yes, I agree to the terms listed above.

Authorized User: By clicking yes below you are agreeing to the city liability, association liability, and park rules.

Yes, I as the authorized user agree to the terms listed above.

Your Dog's Information

Proof of spay/neuter and vaccinations (Rabies, Distemper, Parvo and Bordatella) are required for all dogs being registered.

Membership Rules

Dogs must be spayed or neutered unless exempt under the Johnson City bylaw

Female dogs in heat are strictly prohibited

Dogs must be current on the required vaccinations - Rabies, Distemper, Parvo, and Bordetella

Dogs exhibiting aggressive behavior must be removed from the park

Dogs deemed aggressive or excessively loud may be banned from the park without a refund of annual membership fees

Unleash your dog in the double gate area - DO NOT enter the park with a leashed dog

Owners:

You must have your Gate Access Key Card to enter the park

Always clean up after your dog

Never leave your dog unattended in the park

Children under 12 years of age are strictly prohibited from the park

No smoking or tobacco products are allowed in park

You and your dog enter and exit the park at your own risk

No eating or drinking is allowed in the park

Alcohol is not allowed in the park

Park membership expires March 31st of each year

Replacement cost for a Gate Access Key Card is $10.00

Failure to observe park rules will result in cancellation of your membership

Dispute resolution form should be filled out for any park altercation

Association Liability Form:

I hereby acknowledge that I have voluntarily applied to participate and use, with my dog(s), the dog park located within Willow Springs Park in Johnson City, TN (the Dog Park). I understand that the act of unleashing my dog(s) and being physically present inside the Dog Park may involve risks of injury to myself, other persons, my dog(s), and other dogs, which risks are entirely my responsibility. I expressly assume all of these risks. I further understand that dogs, irrespective of their training and usual past behavior or characteristics, may act or react unpredictably at times based upon instinct or circumstances, and I agree to assume the risk of injury to me, any individual accompanying me or my dog(s) in the Dog Park. I understand that this risk may result from aggressive and /or dangerous dogs, which may be present in the Dog Park. I further understand and assume the risk that not all dogs present in the Willow Springs Dog Park have received the Rabies vaccine as required by law, and that not all dogs using the Dog Park have been vaccinated for Distemper, Parvo or Bordetella, all of which could result in injury to me, my dog(s) or the Authorized User for my dog(s). Additional risks include, but are not limited to: dog fights, dog bites and injuries to humans and other dogs; dog theft or unlawful capture; dog escape over or under fences; plants and/or water sources of the park may be poisonous to dogs; park vegetation may have burrs or seeds that could become tangled in a dogʼs coat or lodge in a dogʼs feet, ears, nose, or eyes, mosquitoes, ticks, chiggers, fleas or other insect may be present; wild animals such as skunks, raccoons, opossums, or stray dogs could be present in the park, all of which might injure or infect my dog(s). I understand and expressly assume all of these additional risks.

It is my understanding that no agent or employee of the Friends of the Johnson City Dog Park, Association, Inc. (the Association) will supervise the Dog Park at any time. I further understand the Association does not assume liability for loss, damage, or any kind of injury sustained by any human or dog while using the Dog Park. I, therefore, expressly assume all risks associated with using the Dog Park, as well as fixtures and equipment located therein, in an unsupervised manner.

By accepting this release of liability and acknowledgment of use condition and terms of the Dog Park, I hereby fully and forever release and discharge the Association and their employees, agents, and assigned from any and all claims, demands, damages, rights of actions, or causes of action present or future, whether the same be known or unknown, anticipated or unanticipated, resulting from or arising out of my use or intended use of the Dog Park.

I fully and forever release and discharge the Association, and their employees, agents and assigned from any and all negligent acts and omissions in the same, and intend to be legally bound by this release.

I have carefully read this release of liability and understand and fully acknowledge and agree with its contents.

This is a release of liability. Do not accept if you do not understand or do not agree with its terms.

City Liability Form:

I hereby acknowledge that I voluntarily have applied to participate and use, with my dog(s), the Willow Springs Dog Park at Willow Springs Park. I understand that the act of unleashing my dog(s) and being physically present inside the Willow Springs Dog Park may involve risks of injury to myself, other persons, my dog(s), and other dogs, which risks are entirely my responsibility. I expressly assume all these risks. I further understand that dogs, irrespective of their training and usual past behavior or characteristics, may act or react unpredictably at times based upon instinct or circumstances, and I agree to assume the risk of injury to me, any individual accompanying me or my dog(s) in the Willow Springs Dog Park. I understand that this risk may result from aggressive and /or dangerous dogs, which may be present in the Willow Springs Dog Park. I further understand and assume the risk that not all dogs present in the Willow Springs Dog Park have received the Rabies vaccine as required by law, and that not all dogs using the Willow Springs Dog Park have been vaccinated for Distemper, Parvo or Bordetella, all of which could result in injury to me, my dog(s) or the authorized companion for my dog(s). Additional risks include, but are not limited to: dog fights, dog bites and injuries to humans and other dogs; dog theft or unlawful capture; dog escape over or under fences; plants and/or water sources of the park may be poisonous to dogs; park vegetation may have burrs or seeds that could become tangled in a dogʼs coat or lodge in a dogʼs feet, ears, nose, or eyes, mosquitoes, ticks, chiggers, fleas or other insect may be present; wild animals such as skunks, raccoons, opossums, or stray dogs could be present in the park, all of which might injure or infect my dog(s). I understand and expressly assume all of these additional risks.

It is my understanding that no agent or employee of Parks and Recreation Department or the City of Johnson City will supervise the Willow Springs Dog Park at any time. I further understand that neither Parks and Recreation or the City of Johnson City assumes liability for loss, damage, or any kind of injury sustained by any human or dog while using Willow Springs Dog Park. I, therefore, expressly assume all risks associated with using the Willow Springs Dog Park, as well as fixtures and equipment located therein, in an unsupervised manner.

By signing this release of liability and acknowledgment of use condition and terms of the Willow Springs Dog Park, I hereby fully and forever release and discharge the City of Johnson City, Parks and Recreation and their employees, agents, and assigned from any and all claims, demands, damages, rights of actions, or causes of action present or future, whether the same be known or unknown, anticipated or unanticipated, resulting from or arising out of my use or intended use of said Willow Spring Dog Park.

I fully and forever release and discharge the City of Johnson City, the Johnson City Parks and Recreation and their employees, agents and assigned from any and all negligent acts and omissions in the same, and intend to be legally bound by this release.

I have carefully read this release of liability and understand and fully acknowledge and agree with its contents.

This is a release of liability. Do not accept if you do not understand or do not agree with its terms.

I have read, understood, and accepted the rules for membership, association liability and city liability.

Yes, I agree to the city liability, association liability and park rules.

The membership fee is $25.00 per year. Members do not have to have a registered dog, but gate access keys are only issued to members with registered dogs, and only registered dogs may use the park. Half priced fee ($12.50) are available October 1st to January 31st. After January 31st, full registrations run from the date of registration to March 31st of the following year.

The registration fee is $20.00 per year for each dog. Half priced fees ($10 per dog) are availiable October 1st to January 31st. After January 31st, full priced registrations run from the date of registration to March 31st of the following year.

The MINIMUM price for a one year membership to the park is $45.00 ($25.00 membership fee + $20.00 PER DOG fee) Please remember to click on the DOG REGISTRATION FEE and submit the quantity of dogs you are registering.

Membership Prices:

Membership Fee
$
25.00

Dog Registration Fee (per dog)
$
20.00

Quantity

Total
$
0.00

Once you submit your application, you will be directed to Paypal to pay the membership fee. You are not required to have a Paypal account. Just click on: